床旁肺部超声联合血浆氨基末端脑钠肽前体对心力衰竭的诊断价值

发布时间：2018-04-15 13:31

  本文选题：床旁肺部超声 + 血浆氨基末端脑钠肽前体　； 参考：《临床心血管病杂志》2017年01期

【摘要】：目的:探讨心力衰竭(心衰)患者肺部超声B线的数量和血浆氨基末端脑钠肽前体(NT-proBNP)浓度对心衰的诊断价值。方法:选取2014年3-9月就诊于苏州大学附属第一医院急诊或住院的心衰患者59例(男39例,女20例),均行床旁超声心动图、肺部超声检查及血浆NT-proBNP浓度的测定。结果:B线数量及血浆NT-proBNP水平随NYHA心功能严重程度而增加,差异有统计学意义(P0.05)。B线与血浆中NT-proBNP水平呈明显的正相关关系(r=0.65,P0.01)。B线诊断NYHA心功能Ⅱ级以上心衰的ROC曲线下面积为0.702,NT-proBNP诊断NYHA心功能Ⅱ级以上心衰的ROC曲线下面积为0.685。结论:床旁肺部超声是评估心衰的一种新的手段,联合血浆NT-proBNP水平可提高对心衰的诊断价值。
[Abstract]:Objective: to investigate the diagnostic value of the number of B-line ultrasound in lung and the concentration of NT-proBNPs in plasma of patients with heart failure (HF).Methods: 59 patients (39 males and 20 females) with CHF who were admitted to the first affiliated Hospital of Suzhou University from March to September 2014 were examined by bedside echocardiography, pulmonary echocardiography and plasma NT-proBNP concentration.Results the number of line B and the level of plasma NT-proBNP increased with the severity of NYHA cardiac function.There was a significant positive correlation between the level of NT-proBNP in plasma and P0.05. B line. The area under the ROC curve was 0.702NT-proBNP for the diagnosis of heart failure above grade 鈪，

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